Debra Clarke, AP # 1697

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP#1697 Issued in FL

Practice address

122 E Lakeview Ave
Lake Mary, FL 32746-3220

Phone

(407) 878-3813

Fax

(407) 878-3815

NPI assigned

Mar 15, 2010

Last updated

Mar 16, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1417271834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E LAKEVIEW AVE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463220",
            "telephone_number": "407-878-3813",
            "fax_number": "407-878-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E LAKEVIEW AVE",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463220",
            "telephone_number": "407-878-3813",
            "fax_number": "407-878-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DEBRA",
        "name_prefix": "Mrs.",
        "credential": "AP # 1697",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP#1697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Clark, R.N.
• Kelly Lynn Clark
• Kiesa A Clark
• Nonicah Clark
• Raymond Thomas Clark
• Jonathan Paul Clarke, M.D.
• Classic Dental, Inc.
• Clearvue Eyes, PLLC (ClearVue Eyes)
• Clements & Associates, Inc.
• Rosimeri Cristina Clements, PSY.D.

• Acupuncturist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.